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Thyroid Stimulating Hormone (TSH) with High-Performance Liquid Chromatography (HPLC) Method

Published: August 9, 2026Updated: August 16, 2026

This test measures your thyroid-stimulating hormone level, a key hormone that regulates your thyroid function.

Quick summary

["TSH helps your doctor check if your thyroid is working properly."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
47950-1
Short code
TSH 1h p LRH IV SerPl-aCnc
Synonyms
TSH 1h p LRH IV SerPl-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0.4
Ref high
4
Critical range
0.1 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84443
SNOMED
301343003
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Does This Test Measure?

Thyroid-stimulating hormone (TSH) is produced by your pituitary gland and signals your thyroid to produce thyroid hormones (like thyroxine, or T4). Your body uses TSH to maintain normal hormone levels. This test measures the amount of TSH in your blood to assess thyroid function.

Why Might Your Doctor Order This Test?

Your doctor may recommend this test if you have symptoms like fatigue, weight changes, or unexplained issues with metabolism. It’s also used to monitor thyroid conditions like hypothyroidism or hyperthyroidism, or to check for thyroid problems during pregnancy.

How Is This Test Done?

A blood sample is taken from a vein, usually in your arm. The sample is sent to a lab where it’s analyzed using HPLC to measure TSH levels accurately.

What Are Common Results and Next Steps?

Results may indicate low or high TSH levels, which can signal whether your thyroid is overactive or underactive. Your doctor will interpret the results in relation to your symptoms and other tests.

Reference range

Adult: 0.4-4.0 mIU/LN/A

Specimen: serum

Take your thyroid medication after the blood draw if applicable. No fasting required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Thyroid-stimulating hormone (TSH) is a critical marker for thyroid health. Low TSH can suggest hyperthyroidism (overactive thyroid), while high TSH often points to hypothyroidism (underactive thyroid). It’s also useful for diagnosing thyroid nodules, pituitary disorders, or thyroid cancer. Regular monitoring with TSH helps manage long-term thyroid conditions.

Short name

TSH HPLC

Frequently asked questions

Why was this test ordered for me?
Your doctor may have ordered this test to check for thyroid problems, monitor an existing condition, or evaluate symptoms like fatigue, weight changes, or unexplained issues with your metabolism.
What do my TSH results mean?
Your doctor will explain your results in detail, considering your symptoms and other tests. Low TSH may indicate hyperthyroidism, while high TSH often suggests hypothyroidism. Your doctor will guide next steps based on the findings.
Can I eat or drink before this test?
Typically, you should fast for 9–12 hours before this test, but follow your doctor’s specific instructions. Avoid caffeine or alcohol before the test if recommended.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy